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[通过夜间氧合评估悬雍垂腭咽成形术治疗阻塞性睡眠呼吸暂停综合征的长期效果]

[Long-term result after UPPP for OSAS by evaluation of nocturnal oxygenation].

作者信息

Shimada A, Konno A, Isono S

机构信息

Department of Otolaryngology, Chiba Municipal Kaihin Hospital.

出版信息

Nihon Rinsho. 2000 Aug;58(8):1681-4.

Abstract

The nocturnal oxygenation of 45 patients with OSAS who had UPPP at our hospital were evaluated by pulse oximetry before and after surgery and at the time more than one year after UPPP. "Successful case" is defined as the case that showed more than 50% reduced oxygen desaturation index(ODI) after UPPP. Twenty seven cases including 15 severe cases(ODI > or = 40) have showed continuously successful ODI for more than one year. We could not get good result in 8 cases, which kept high ODI. Four of them are now using dental appliance. We have recognized the recurrence of sleep apnea in 10 cases that once got successful results just after UPPP. Our report strongly suggests the importance of long-term follow-up after surgery.

摘要

对在我院接受悬雍垂腭咽成形术(UPPP)的45例阻塞性睡眠呼吸暂停综合征(OSAS)患者,在手术前后及UPPP术后一年以上,通过脉搏血氧饱和度仪对其夜间氧合情况进行评估。“成功病例”定义为UPPP术后氧饱和度下降指数(ODI)降低超过50%的病例。27例患者(包括15例重度病例,ODI≥40)术后一年以上ODI持续成功降低。8例患者效果不佳,ODI持续处于高位。其中4例目前正在使用口腔矫治器。我们发现10例患者在UPPP术后曾取得成功,但之后出现了睡眠呼吸暂停复发。我们的报告强烈提示了术后长期随访的重要性。

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